Estimate of income for use in child support assessment

Transcription

1 Estimate of income for use in child support assessment You can save time by completing this form online. Go to our website for information and to access Child Support Online Services. When you register, you will be asked to create a mygov account. You can then link your Child Support record to your account. Your mygov account lets you access your Australian Government online accounts with one username and password. Help in other languages When to use this form You can complete this form if you need to provide us with an estimate of your income. Reasons you might need to do this include: Your current income is at least 15 per cent less than the adjusted taxable income used in your child support assessment. Your current assessment must be based on either a taxable income provided by the Australian Taxation Office (ATO), or on details you have supplied to us about your taxable income. You have already lodged an estimate for this financial year and this new estimate is for a different amount. This amount can be more or less than your current estimate. You have previously lodged an estimate for the current financial year and a new financial year is about to start, and you expect to earn at least 15 per cent less than the adjusted taxable income amount used in your child support assessment for the new financial year. IMPORTANT: An estimate can be applied only from the date this form is received by us, or from 1 July if you are estimating for the next financial year. Korean (TIS), Note: You are required to notify us of any changes to your income. Please read the Notes on the last page before you complete this form so you can determine if you are eligible to provide an estimate. You can provide your estimate of income over the phone. Call us on Monday to Friday, between 8.30 am and 4.45 pm, local time. Note: Call charges apply calls from mobile phones may be charged at a higher rate. To complete this form Please use black or blue pen Print using BLOCK LETTERS Tick where applicable Sign the form Where do I send this form? Send the completed form to: Department of Human Services GPO Box 9815 MELBOURNE VIC 3001 or Fax: For more information For more information about child support please go to our website or call of 5

2 1 Do you want to apply this estimate to all eligible cases? Yes Go to 2 No 2 Your Child Support Reference Number (as shown on your Child Support letters) 3 What are your personal details? Mr Mrs Miss Ms Other Family name First given name Other given names 4 Date of birth Please call us to discuss your reasons 10 What period will your estimate apply to? Tick only one option (A, B or C) where applicable. Please write the start date and end date of your estimate. Note: Your estimate will be applied until the end of the financial year in which your estimate commences. A tick this option only if: this is your first estimate for this financial year. Today s date This is your estimate period. Go to 11 B tick this option only if: you have already lodged an estimate for this financial year; and your income has changed since your first estimate was lodged. What date did this change occur? 5 Postal address Go to 13 6 Home phone ( ) 7 Work phone ( ) 8 Mobile phone 9 Postcode C tick this option only if: you have previously lodged an estimate for the current financial year; and a new financial year is about to start; and you would like this estimate to start on 1 July of the new financial year; and you expect to earn at least 15 per cent less than the adjusted taxable income amount used in your child support assessment. Start date This is your estimate period. Go to 13 IMPORTANT: If you are lodging an estimate to begin on the new financial year, and your circumstances change after you lodge that estimate, you can withdraw your estimate prior to 1 July. 2 of 5

3 11 Will your estimate start on 1 July? 12 What is your year to date (YTD) income? Yes Go to 13 No Go to 12 You must provide your YTD income amount if this is your first estimate for the financial year and it will start after 1 July. The YTD income is the amount you have earned from 1 July to the day before your initial estimate is lodged. My YTD income period is IMPORTANT: Your YTD income amount needs to be accurate as we will use this information to verify your estimate after the financial year has ended. a Total salary and wage income (Include salary, wages and allowances) b Business income (Include income from businesses, partnerships and trusts) c Taxable pensions and benefits (Include Centrelink and Social Security payments and other government allowances) d Net rental income/loss e Net financial investment income/loss f Eligible termination payments i Your YTD allowable deductions (Include items such as work related expenses/business expenses/gifts or donations) j *Your YTD taxable income ((a + b + c + d + e + f + g + h) - i ) k Total of your YTD tax free pensions and benefits l Your YTD target foreign income (Include any foreign income you receive that is not taxable income or a fringe benefit) m **Your YTD total net investment losses n Your YTD reportable fringe benefits o Your YTD reportable superannuation contributions p Your total YTD income (j + k + l + m + n + o) * Your taxable income cannot be less than 0. If the amount at Item j is less than 0, insert 0 as your taxable income. ** A total net investment loss is the amount by which the expenses for your investments, e.g. from rental property, shares, managed investment and forestry managed investment schemes, exceed the gross income from those investments, if this loss was deducted from your income for tax purposes. Only complete item m if you have a loss (a negative amount recorded at d and/or e). You must add any loss amounts at item m to your total income at item p. g Net capital gains h Other income (Include any other taxable income not listed above) 3 of 5

4 13 What is your estimated income? To complete this section, refer to the dates you supplied at Question 10. Calculate the income you expect to earn during this period. a Your total estimated salary and wage income (Include salary, wages and allowances) b Your estimated business income (Include income from businesses, partnerships and trusts) c Your estimated taxable pensions and benefits (Include Centrelink and Social Security payments and other government allowances) d Your estimated net rental income/loss e Your estimated net financial investment income/loss m **Your estimated total net investment losses n Your estimated reportable fringe benefits o Your estimated reportable superannuation contributions p Your total estimated income (j + k + l + m + n + o) * Your taxable income cannot be less than 0. If the amount at Item j is less than 0, insert 0 as your taxable income. ** A total net investment loss is the amount by which the expenses for your investments, e.g. from rental property, shares, managed investment and forestry managed investment schemes, exceed the gross income from those investments, if this loss was deducted from your income for tax purposes. Only complete item m if you have a loss (a negative amount recorded at d and/or e ). You must add any loss amounts at item m to your total income at item p. 14 Why has your income changed? f Your estimated eligible termination payments g Your estimated net capital gains h Your estimated other income (Include any other taxable income not listed above) i Your estimated allowable deductions (Include items such as work related expenses, business expenses, gifts or donations) j *Your estimated taxable income ((a + b + c + d + e + f + g + h) - i ) k Total of your estimated tax free pensions and benefits l Your estimated target foreign income (Include any foreign income you receive that is not taxable income or a fringe benefit) 15 Statement I elect: to use the above estimate of my taxable income, and if applicable, other income amounts and net investment losses as my adjusted taxable income amount for the period specified above. I declare that: the information provided in this form is complete and correct. I understand that: this income estimate will replace any previous income estimate I have made for this financial year. giving false or misleading information is a serious offence. Your signature - Date 4 of 5

5 Notes Is my estimate automatically accepted? We can refuse an estimate if we have information that indicates your actual income is likely to be more than your estimate, or if the year to date YTD figure provided is more than the likely YTD amount earned. We will contact you if we are considering refusing your estimate. In some circumstances, you will not be able to ask us to accept your estimate. If you have not lodged your last tax return or supplied us with your income details for the last tax year, we cannot accept your estimate. An Agreement, Court Order, or Change of Assessment decision can also prevent or stop you from being eligible to lodge an estimate if it: varies the annual rate of child support payable in your child support case by setting that annual rate; or varies your adjustable taxable income, or your child support income, by setting that adjusted taxable income or child support income. What happens if I underestimate my income? When the financial year ends, so will your estimate. We will verify the accuracy of your estimate from the information in your tax return. If you do not lodge your tax return by 30 June of the following financial year, we may determine your actual income. We may conduct our own investigations, including asking you to provide proof of your income. If your actual income is higher than the amount you estimated, your child support may be amended. This will create arrears that you will be required to pay. If your actual income is 10 per cent higher than the amount you estimated, or more, you may also be charged a penalty. If you have over-estimated your income, we cannot backdate and reduce your assessment to reflect your lower income. To ensure the accuracy of your estimate, post this form the same day you complete it. Customers are responsible for contacting us to update income details when changes occur. What if I have a complaint? Step One: Contact us and speak to your Customer Service Officer who will try to solve the problem. Step Two: If you are not satisfied with the outcome, ask to speak to their manager. Step Three: If you are still not satisfied, call our Complaints Service on and speak to a Complaints Officer. If you feel that we have been unable to successfully resolve your complaint, you can escalate your concerns by contacting the Commonwealth Ombudsman. How can I report suspected fraud? If you have information about someone who is misusing government services, please phone the Australian Government Services Tip-off Line on The tip-off line allows you to confidentially report fraud against the Department of Human Services. Privacy and your personal information Centrelink, Medicare, Child Support and CRS Australia are services within the Australian Government Department of Human Services (Human Services). Your personal information is protected by law, including the Privacy Act Your information is collected for Social Security, Family Assistance, Medicare, Child Support and CRS purposes. This information may be required by the powers provided within each services legislation or voluntarily given by you when you apply for services or payments. Your information will be used for the assessment and administration of payments and services. Your information may also be used within Human Services, where you have provided consent or it is required or authorised by law. Human Services may disclose your information to Commonwealth departments, other persons, bodies or agencies ONLY where you have provided consent or it is required or authorised by law. You can get more information about privacy by going to our website or requesting a copy of the full privacy policy at any of our Service Centres. Notes 5 of 5